HCPCS 98940

Other service (ClaimLight category; the code descriptor is not shown)

Other services Work RVU per service 0.46 (2020 fee schedule)

14,262
98th percentile among 6,116 codes billed · 2020
$79M
97th percentile among 6,116 codes billed · 2020
4.0M
98th percentile among 6,116 codes billed · 2020
172
91st percentile among 6,116 codes billed · 2020
869
87th percentile among 6,116 codes billed · 2020

Trend

Medicare payment on the code

$0$50M2020: $79M paid20202021: $83M paid20212022: $75M paid20222023: $71M paid20232024: $63M paid2024$63M$0$50M2020: $79M paid20202021: $83M paid20212022: $75M paid20222023: $71M paid20232024: $63M paid2024$63M$0$50M2020: $79M paid20202021: $83M paid20212022: $75M paid20222023: $71M paid20232024: $63M paid2024$63M$0$50M2020: $79M paid20202021: $83M paid20212022: $75M paid20222023: $71M paid20232024: $63M paid2024$63M

Source: CMS Medicare Physician & Other Practitioners public use files (Original Medicare Part B fee-for-service). Data years 2020–2024.

Billers

010K2020: 14K providers20202021: 14K providers20212022: 14K providers20222023: 13K providers20232024: 12K providers202412K010K2020: 14K providers20202021: 14K providers20212022: 14K providers20222023: 13K providers20232024: 12K providers202412K010K2020: 14K providers20202021: 14K providers20212022: 14K providers20222023: 13K providers20232024: 12K providers202412K010K2020: 14K providers20202021: 14K providers20212022: 14K providers20222023: 13K providers20232024: 12K providers202412K

Source: CMS Medicare Physician & Other Practitioners public use files (Original Medicare Part B fee-for-service). Data years 2020–2024.

observed calculated calculated calculated calculated calculated reported
202411,909$62,816,386-11%3,370,0551689010.46
202312,791$70,564,739-6%3,709,4671779230.46
202213,645$74,907,797-9%3,911,3081749140.46
202114,184$82,521,312+5%4,170,1451779290.46
202014,262$78,672,733first year in data3,988,6781728690.46

Source: CMS Medicare Physician & Other Practitioners public use files (Original Medicare Part B fee-for-service). Data years 2020–2024.

By state

observed calculated calculated calculated calculated calculated
New York1,280$13,416,050612,4323461,280
California941$5,695,764267,176179897
Illinois686$4,271,463217,953198925
Florida859$3,804,099194,468139738
Wisconsin679$3,273,579177,350175749
Ohio626$3,119,311167,200175807
Iowa505$2,496,803137,669151874
Arizona325$2,425,198125,2962491,179
Pennsylvania563$2,386,841123,194138682
Minnesota554$2,090,422109,929120637
Washington424$1,990,072101,553138801
Texas457$1,847,48197,797126690
Kansas274$1,733,57491,8351581,103
Massachusetts268$1,697,05879,930188927
Virginia267$1,672,29083,843189970

Not listed: 1 billers with an armed-forces or unknown state code (XX); they are in the national totals.

Not listed: 4 states with fewer than 11 billers (small cells).

Source: CMS Medicare Physician & Other Practitioners public use files (Original Medicare Part B fee-for-service). Providers placed by practice address. Data year 2020.

Top metro areas

observed calculated calculated calculated calculated
New York-Newark-Jersey City, NY-NJ1,022$9,808,469420,596284
Chicago-Naperville-Elgin, IL-IN352$2,066,515101,486180
Phoenix-Mesa-Chandler, AZ213$1,480,79475,891232
Los Angeles-Long Beach-Anaheim, CA229$1,178,81352,893171
Boston-Cambridge-Newton, MA-NH153$912,14142,125178
Kiryas Joel-Poughkeepsie-Newburgh, NY67$873,67841,415490
Iowa outside metro areas156$863,41148,654189
Miami-Fort Lauderdale-West Palm Beach, FL162$798,58039,238139
Minneapolis-St. Paul-Bloomington, MN-WI251$741,71938,56097
St. Louis, MO-IL148$698,50936,304168
Philadelphia-Camden-Wilmington, PA-NJ-DE-MD156$688,02732,668134
Kansas City, MO-KS118$633,95133,244165
Atlanta-Sandy Springs-Roswell, GA142$612,00831,746148
Albany-Schenectady-Troy, NY67$596,65930,585314
San Francisco-Oakland-Fremont, CA112$579,75525,143166

Source: CMS Medicare Physician & Other Practitioners public use files (Original Medicare Part B fee-for-service). The 100 areas with the most payment among those with at least 11 billers; non-metro parts of each state are one area. Data year 2020.

Specialties billing 98940 nationally

Chiropractic accounts for 100% of payment for 98940 nationally in 2020, across 1 specialties on claims.

observed calculated calculated calculated calculated calculated
Chiropractic14,247100%$78,579,873100%3,984,728280

Not listed: 3 specialties with fewer than 11 billers (small cells).

Source: CMS Medicare Physician & Other Practitioners public use files (Original Medicare Part B fee-for-service). Provider-level lines (fewer than 11 beneficiaries suppressed by CMS); specialty is the provider type on claims. Data year 2020.

Top billers of 98940 nationally

Named top billers are a Pro figure, and Pro is not available to buy, so this list is not shown to any account. The counts and totals by state, metro area and specialty on this page are free.

Original Medicare Part B fee-for-service only; CMS suppresses provider lines with fewer than 11 beneficiaries. How these figures are computed · Limitations